Re-Visioning Psychiatry explores new theories and models from cultural psychiatry and psychology, philosophy, neuroscience and anthropology that clarify how mental health problems emerge in specific contexts and points toward future integration of these perspectives. Taken together, the contributions point to the need for fundamental shifts in psychiatric theory and practice: • Restoring phenomenology to its rightful place in research and practice • Advancing the social and cultural neuroscience of brain-person-environment systems over time and across social contexts • Understanding how self-awareness, interpersonal interactions, and larger social processes give rise to vicious circles that constitute mental health problems • Locating efforts to help and heal within the local and global social, economic, and political contexts that influence how we frame problems and imagine solutions. In advancing ecosystemic models of mental disorders, contributors challenge reductionistic models and culture-bound perspectives and highlight possibilities for a more transdisciplinary, integrated approach to research, mental health policy, and clinical practice.
1. Introduction Laurence J. Kirmayer, Robert Lemelson and Constance A. Cummings; Part I. Restoring Phenomenology to Psychiatry: 2. Toward a new epistemology of psychiatry German E. Berrios and Ivana S. Marková; 3. Phenomenology and the interpretation of psychopathological experience Josef Parnas and Shaun Gallagher; 4. How the self is altered in psychiatric disorders: a neurophenomenal approach Georg Northoff; 5. Cultural phenomenology and psychiatric illness Thomas J. Csordas; 6. Empathy and alterity in psychiatry Laurence J. Kirmayer; 7. Reflections: the community life of objects - beyond the academic clinic Nev Jones; Part II. Biosocial Mechanisms in Mental Health and Illness: 8. Dimensional and categorical approaches to mental illness: let biology decide Robert M. Bilder; 9. Early-life adversity and epigenetic changes: implications for understanding suicide Benoit Labonté, Adel Farah and Gustavo Turecki; 10. Understanding the neural circuitry of emotion regulation: white matter tract abnormalities and psychiatric disorder Cecile D. Ladouceur, Amelia Versace and Mary L. Phillips; 11. Paying attention to a field in crisis: psychiatry, neuroscience, and functional systems of the brain Amir Raz and Ethan Macdonald; 12. Reflections: hearing voices - how social context shapes psychiatric symptoms Tanya M. Luhrmann; Part III. Cultural Contexts of Psychopathology: 13. Understanding the social etiology of psychosis Kwame McKenzie and Jai Shah; 14. Toward a cultural neuroscience of anxiety disorders: the multiplex model Devon E. Hinton and Naomi M. Simon; 15. From the brain disease model to ecologies of addiction Eugene Raikhel; 16. Cultural clinical psychology: from cultural scripts to contextualized treatments Andrew G. Ryder and Yulia E. Chentsova-Dutton; 17. Psychiatric classification beyond the DSM: an interdisciplinary approach Roberto Lewis-Fernández and Neil Krishan Aggarwal; 18. Reflections: the virtues of cultural sameness - the case of delusion Ian Gold; Part IV. Psychiatric Practice in Global Context: 19. Afflictions: psychopathology and recovery in cultural context Robert Lemelson and Annie Tucker; 20. Eating pathology in Fiji: phenomenologic diversity, visibility, and vulnerability Anne E. Becker and Jennifer J. Thomas; 21. Solving global mental health as a delivery problem: toward a critical epistemology of the solution Kalman Applbaum; 22. Global mental health praxis: perspectives from cultural psychiatry on research and intervention Brandon A. Kohrt and James L. Griffith; 23. Reflections: social inequalities and mental health outcomes - toward a new architecture for global mental health Duncan Pedersen; 24. Conclusion: re-visioning psychiatry - toward an ecology of mind in health and illness Laurence J. Kirmayer.